LIAQUAT NATIONAL HOSPITAL
& MEDICAL COLLEGE
RESPIRATORY II MODULE
THIRD YEAR MBBS SEMESTER 5
STUDY GUIDE
2017
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 2
STUDY GUIDE FOR RESPIRATORY II MODULE
S.No
CONTENTS Page No.
1 Overview 3 2 Introduction to Study Guide 4
3 Learning Methodologies 5 4 Module 3: Respiratory II 7
4.1 Introduction 7
4.2 Objectives and Strategies 8
5 Learning Resources 14 6 Assessment Methods 16 7 Semester Examination Rules and Regulations of JSMU 18
8 Modular Examination Rules and Regulations (LNMC) 20
9 Schedule 22
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 3
Module name: Respiratory II
Semester: Five Year: Three Duration: 4 weeks (Jan - Feb 2017)
Timetable hours: Lectures, Case-Based Integrated Learning (CBIL), Clinical Rotations, learning
experience in LNH outreach centers, Laboratory, Practical, Demonstrations, Skills, Self-Study
Credit hours: 3 credit hours in theory and 1.5 credit hours in practical
MODULE INTEGRATED COMMITTEE
DEPARTMENTS’ & RESOURCE PERSONS’ FACILITATING LEARNING
MODULE COORDINATOR: Dr. Zafar Ahmed (Pulmonology)
CO-COORDINATORS: Professor Nighat Huda (DHCE) Dr. Sheeba Mahjabeen (Pulmonology) Dr. Amna Khursheed (Pathology)
BASIC HEALTH SCIENCES CLINICAL AND ANCILLARY DEPARTMENTS ANATOMY
Professor Zia-ul-Islam
CHEMICAL PATHOLOGY Dr. Howrah Ali
COMMUNITY MEDICINE Professor Rafiq Soomro
PEDIATRICS Prof. Samina Shamim
FORENSIC MEDICINE Professor Murad Zafar
PULMONOLOGY Professor Ali Arsalan Dr. Ali Abbas Dr. Zafar Ahmed Dr. Sheeba Mahjabeen
PATHOLOGY
Professor Naveen Faridi Dr. Amna Khursheed
RADIOLOGY Dr. Muhammad Ayub Mansoor Dr. Roomi Mahmud
PHARMACOLOGY Professor Nazir Ahmad Solangi
RESEARCH & SKILLS DEVELOPMENT CENTER Dr Kahkashan Tahir
PHYSIOLOGY
Professor Syed Hafeez-ul-Hassan RESEARCH
Dr. Shaheena Akbani
DEPARTMENT of HEALTH CARE EDUCATION Professor Nighat Huda Dr. Mirza Aroosa Beg
LNH&MC MANAGEMENT
Professor Amir Ali Shoro, Dean & Principal, Director FHS LNH&MC Dr. Shaheena Akbani, Controller A.A & R.T LNH&MC
STUDY GUIDE COMPILED BY: Department of Health Care Education
Dr. Muhammad Suleman Sadiq
Dr. Rabia Mahmood
Dr. Afifa Tabassum
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 4
INTRODUCTION
WHAT IS A STUDY GUIDE?
It is an aid to:
Inform students how student learning program of the semester-wise module has been
organized
Help students organize and manage their studies throughout the module
Guide students on assessment methods, rules and regulations
THE STUDY GUIDE:
Communicates information on organization and management of the module.
This will help the student to contact the right person in case of any difficulty.
Defines the objectives which are expected to be achieved at the end of the module.
Identifies the learning strategies such as lectures, small group teachings, clinical skills,
demonstration, tutorial and case based learning that will be implemented to achieve the
module objectives.
Provides a list of learning resources such as books, computer assisted learning programs,
web- links, journals, for students to consult in order to maximize their learning.
Highlights information on the contribution of continuous and semester examinations on the
student’s overall performance.
Includes information on the assessment methods that will be held to determine every student’s
achievement of objectives.
Focuses on information pertaining to examination policy, rules and regulations.
CURRICULUM FRAMEWORK
Students will experience integrated curriculum similar to previous modules of all 4 semesters.
INTEGRATED CURRICULUM comprises of system-based modules such as Infectious Diseases,
Hematology, Respiratory system and CVS which links basic science knowledge to clinical problems.
Integrated teaching means that subjects are presented as a meaningful whole. Students will be
able to have better understanding of basic sciences when they repeatedly learn in relation to clinical
examples.
LEARNING EXPERIENCES: Case based Integrated discussions, skills acquisition in skills lab. computer-
based assignments, learning experiences in clinics, wards, and outreach centers
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 5
LEARNING METHODOLOGIES
The following teaching / learning methods are used to promote better understanding:
Interactive Lectures
Small Group Discussion
Case- Based Integrated Learning (CBIL)
Clinical Experiences o Clinical Rotations o Experience in LNH outreach centers
Practicals
Skills session
Self-Directed Study
INTERACTIVE LECTURES: In large group, the lecturer introduces a topic or common clinical conditions and
explains the underlying phenomena through questions, pictures, videos of patients’ interviews,
exercises, etc. Students are actively involved in the learning process.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 6
SMALL GROUP SESSION: This format helps students to clarify concepts, acquire skills or desired
attitudes. Sessions are structured with the help of specific exercises such as patient case, interviews or
discussion topics. Students exchange opinions and apply knowledge gained from lectures, tutorials and
self study. The facilitator role is to ask probing questions, summarize, or rephrase to help clarify concepts.
CASE- BASED INTEGRATED LEARNING (CBIL): A small group discussion format where learning is focused
around a series of questions based on a clinical scenario. Students’ discuss and answer the questions
applying relevant knowledge gained previously in clinical and basic health sciences during the module and
construct new knowledge. The CBIL will be provided by the concern department.
CLINICAL LEARNING EXPERIENCES: In small groups, students observe patients with signs and symptoms
in hospital wards, clinics and outreach centers. This helps students to relate knowledge of basic and
clinical sciences of the module and prepare for future practice.
o CLINICAL ROTATIONS: In small groups, students rotate in different wards like Medicine, Pediatrics,
Surgery, Obs & Gyne, ENT, Eye, Family Medicine clinics, outreach centers & Community Medicine
experiences. Here students observe patients, take histories and perform supervised clinical
examinations in outpatient and inpatient settings. They also get an opportunity to observe medical
personnel working as a team. These rotations help students relate basic medical and clinical
knowledge in diverse clinical areas.
o EXPERIENCE IN LNH OUTREACH CENTERS: Learning at outreach centers of LNH have been
organized and incorporated as part of training of third year medicinal students. The objective of
these visits is to provide clinical training experiences for students in primary care settings.
PRACTICAL: Basic science practicals related to pharmacology, microbiology, forensic medicine, and
community medicine have been schedule for student learning.
SKILLS SESSION: Skills relevant to respective module are observed and practiced where applicable in
skills laboratory.
SELF-DIRECTED STUDY: Students’ assume responsibilities of their own learning through individual study,
sharing and discussing with peers, seeking information from Learning Resource Center, teachers and
resource persons within and outside the college. Students can utilize the time within the college
scheduled hours of self-study.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 7
SEMESTER 5 MODULE 3 : RESPIRATORY II
INTRODUCTION
The Respiratory System II (RES II) module is designed to consolidate, and build on the Semester OneRES1
module which covered basic medical sciences concepts for understanding the causes and treatment of
diseases.
RES (II) will focus on the respiratory system, its associated diseases, treatment options, and prevention of the
diseases such as obstructive lung diseases, hypersensitivity related diseases, pulmonary infections, respiratory
failure and restrictive lung diseases. The community medicine learning will aim at sessions on preventive
medicine and various program such as TB DOTS and national tuberculosis control program of Pakistan. The
module will enable students to relate their theoretical learning through common clinical presentations, case-
based learning, interactive lectures, patient, simulated-based experiences and video-based learning.
Forensic Medicine, family medicine clinics and research will run parallel with the module.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 8
COURSE OBJECTIVES AND STRATEGIES
At the end of the module the students will be able to:
OBJECTIVES FACULTY LEARNING
STRATEGY
OBSTRUCTIVE LUNG DISEASES (COPD)
Perform Respiratory System Examination Skills Lab
Group Learning,
Simulation Based
Hands-on Practice
Discuss overview of clinical anatomy of Thorax including thoracic wall, lungs and trachea-bronchial tree
Anatomy
Small Group
Discussion
Explain the different Stages of development of Lung and its congenital anomalies
Interactive
Lecture/Small Group
Discussion
Enlist and describe the different volumes and capacities of lungs
Physiology
Interactive
Lecture/Small Group
Discussion
Take focused history
Perform examinations in Respiratory Diseases
Discuss abnormal assessment findings associated with pulmonary diseases
Pulmonology
Interactive
Lecture/Small Group
Discussion
Discuss the investigations relevant to respiratory diseases Interactive Lecture
Discuss the epidemiology, patho-physiology and etiology related to the development of COPD
Explain the signs and symptoms of the disease
Discuss the investigations & diagnostic strategies for COPD
Explain the management of COPD
Pulmonology Interactive Lecture
Discuss the differential diagnosis of granulomatous inflammation including TB
Pathology
Small Group
Discussion
Analyze histopathological changes in given slide of a patient suffering from chronic obstructive pulmonary disease
Small Group
Discussion
Explain the etiology and pathogenesis of obstructive lung disease including chronic bronchitis, bronchiectasis, asthma and emphysema
Interactive Lecture
Discuss pathogenesis of Anaphylaxsis
Interactive Lecture
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 9
HYPERSENSITIVITY RELATED DISEASES (Asthma)
Explain the different types of asthma
Explain the role of histamine and antihistamine in bronchial asthma
Discuss the drugs used in preventive therapy
Describe drugs used in acute attack of asthma
Discuss the treatment of status asthmatics
Discuss drugs used in COPD
Explain the adverse effect of different drugs
Pharmacology Interactive Lecture
Discuss the epidemiology, pathophysiology, etiology, and contributing factors related to the development of asthma
Describe the clinical presentation, diagnostic process and assessment of asthma
Review the pharmacologic treatments for different types of asthma
Identify the elements of long-term asthma management
Discuss the roles of respiratory, physical, and occupational therapy in the long-term management of asthma
Pulmonology Interactive Lecture
Discuss the etiology, pathogenesis, clinical presentation and management of asthma in children
Pediatrics Interactive Lecture
Describe the prevalence, causes and strategies of primary prevention of asthma
Community
Medicine Interactive Lecture
Discuss the treatment approach of bronchial asthma
Demonstrate the methods of administration of drugs used in asthma including nebulizer and inhaler
Pharmacology Practical
PULMONARY INFECTIONS (Tuberculosis)
Identify the common causative agents, modes of transmission and risk factors for the common acute respiratory tract infections in pediatric age group
Explain the management of acute respiratory tract infections in children
Explain the most effective ways to prevent and control ARIs
Describe the clinical presentations and complications of ARIs, and the danger signs of severe pneumonia
Pediatrics Interactive Lecture
Explain the different types of cough
Explain the treatment strategy of cough
Discuss the adverse effect of anti-tussive drugs
Describe allergic rhinitis and its triggering factor
Explain the drugs used in the treatment of allergic rhinitis and its treatment strategy
Pharmacology
Small Group
Discussion
Discuss the first line drugs used in treatment of tuberculosis, mechanism of action and adverse effects
Discuss the second line drugs used in treatment of tuberculosis, indications for use and adverse effects
Describe WHO guidelines for treatment of tuberculosis –
Interactive Lecture
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 10
The DOTS Regimen
Explain monitoring of Anti-Tuberculosis (AT) therapy
Explain Multiple Resistance Drugs (MRD) TB, causes of resistance and prevention of resistance
Discuss drugs for prevention of TB in exposed patients
List the immunological differences of TB in child and adult
Explain the signs and symptoms of various forms of TB presenting in children
Recall the diagnostic criteria for TB in pediatric age group
Discuss the treatment protocol for TB
Pediatrics Interactive Lecture
Discuss the clinical diagnosis, investigation and management protocol for TB and MDR TB
Pulmonology Interactive Lecture
Explain tuberculosis as a public health problem globally including Pakistan
Discuss the mode of transmission such as droplets, dust, physical contact etc
Describe the various screening tests of tuberculosis
Discuss the preventive strategies at primary level and the National Tuberculosis Control Program of Pakistan
Community
Medicine Interactive Lecture
Pneumonia
Explain the community acquired pneumonia with special emphasis on its general features and causative agents
Pulmonology Interactive Lecture
Discuss the causative organisms of pneumonia Pathology Interactive Lecture
Disucss community acquired pneumonia along with its pathogens
Discuss the clinical features of disease
Discuss the investigations required for diagnosis
Discuss the drugs used in community acquired pneumonia, atypical and suppurative pneumonia
Discuss Penicillin in detail along with pharmacokinetic and pharmacodynamic profile
Pharmacology
Case-Based
Learning/Small
Group Discussion
RESPIRATORY FAILURE (Pneumothorax)
Distinguish between inflammatory and non-inflammatory pleural effusions
Pathology Small Group
Discussion
Classify the different types of respiratory failure along with the essentials of diagnosis
Discuss the investigations and management respiratory failure diseases
Pulmonology
Interactive Lecture
Discuss the etiology and classification of pneumothorax
Discuss the diagnosis and management of pneumothorax
Interactive Lecture
Classify Pleural effusion
Discuss the approach in the diagnosis and management of pleural effusion
Interactive Lecture
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 11
Discuss the normal acid base status of the body and the normal levels of pH, PCO2, PO2 and HCO3
Interpret the ABG report according to the pH, PCO2 and HCO3 levels
Diagnose the different acid base disorders along with the compensatory responses
Enumerate the common causes mixed acid base disorders and single acid base disorder with compensation
Calculate the anion gap and the delta ratio
Diagnose double disorders and triple disorders
Chemical
Pathology
Small Group
Discussion
Explain Pulmonary hypertension
Pathology Interactive Lecture Discuss the diseases of vascular origin
Discuss pathogenesis of pulmonary embolism and infarction
Identify the etiological factors for the development of ARDS
Discuss the diagnostic features of ARDS
Explain various treatment strategies available for ARDS
Discuss pharmacological and non-pharmacological therapies for the management of patients with or at risk ALI
Pulmonology Interactive Lecture
Describe the basic concepts of arterial blood gases (ABGs) Physiology
Interactive
Lecture/Small Group
Discussion
Perform ABGs sampling Skills Lab
Small Group
Discussion
Explain the normal constituents of pleural fluid, mainly pH, protein, glucose and lactate dehydrogenase (LDH)
Diagnose whether the pleural fluid is an exudate or transudate according to the Light’s criteria for pleural fluid
Calculate serum to pleural albumin gradient (SPAG) and its interpretation
Enumerate the causes of exudative and transudative pleural effusions
Chemical
Pathology Interactive Lecture
RESTRICTIVE LUNG DISEASES
Discuss, classification, etiology and pathogenesis of restrictive lung diseases
Pathology
Interactive Lecture
Differentiate between obstructive and restrictive lung disease in term of clinical presentation, pulmonary function test and pathology
Small Group
Discussion
Describe the general and specific preventive measures against various pneumoconiotic diseases such as silicosis, bysinosis, asbestosis, anthracosis etc
Explain the ergonomics and its application to optimize human well-being and overall system performance, fit the job to the worker in occupational environment
Community
Medicine Interactive Lecture
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 12
Discuss the imaging techniques in respiratory disease Radiology Interactive Lecture
Classify lung tumors
Describe characteristics of lung tumors Pathology
Interactive Lecture
Explain the histo-pathological features of lung tumors
Small Group
Discussion
Describe classification of bronchogenic carcinomas
List risk factors of lung cancer
Discuss clinical features and investigations for bronchogenic carcinoma
Explain staging of lung cancer
Identify complications and management of lung carcinoma
Pulmonology Interactive Lecture
Forensic Medicine
Post Mortem Examination
Describe the objectives, rules, essentials, and precautions
for post mortem or autopsy examination
Discuss the different types of autopsy
Forensic Medicine
Interactive Lecture
Medicolegal Autopsy
Describe procedure of medicolegal autopsy
Describe importance of examination of dead body at scene
Interactive
Lecture/Video-
Based Learning
Discuss the objectives, rules, essentials, and precautions for
post mortem or autopsy examination
Small Group
Discussion
Exhuming The Dead
Describe Exhumation of human remains for medico-legal
purposes
Interactive Lecture
Explain Mortuary facility set up and handling the dead
Small Group
Discussion
Negative and Obscure autopsy
Explain Negative and Obscure autopsy
Interactive Lecture
Postmortem Artifacts.
Discuss the different types of postmortem artifacts
Interactive Lecture
Post mortem Autopsy report
Scribe a post mortem autopsy report
Interactive Lecture
Asphyxial deaths
Classify asphyxial deaths
Explain etiology & patho-physiology of asphyxia
Interactive Lecture
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 13
Discuss Cause Of Death (COD) in asphyxia –Difference
between, Suicide and Murder, and Accidental deaths.
Antemortem and Postmortem appearances
Small Group
Discussion
Mechanical asphyxia I
Describe classical signs, cause of death, fatal period, and postmortem appearances of the followings:
o Hanging
o Strangulation
o Throttling
o Smothering
o Traumatic asphyxia
Interactive Lecture
Mechanical asphyxia II
Describe classical signs, cause of death, fatal period, and postmortem appearances of the followings:
o The sexual asphyxia
o Suffocation / Environmental asphyxia
o Gagging/Choking
o Café coronary
Interactive Lecture
Drowning
Explain Drowning & Immersion
Describe post mortem examination of bodies recovered from water
Interactive Lecture
Discuss Pesticide poisons/ Metallic poisons- Lead, Mercury
Poisoning
Small Group
Discussion
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 14
LEARNING RESOURCES
SUBJECT RESOURCES
COMMUNITY MEDICINE
TEXT BOOKS 1. Community Medicine by Parikh 2. Community Medicine by M Illyas 3. Basic Statistics for the Health Sciences by Jan W Kuzma
FORENSIC MEDICINE
TEXT BOOKS 1. Nasib R. Awan. Principles and practice of Forensic Medicine 1st
ed. 2002. 2. Parikh, C.K. Parikh’s Textbook of Medical Jurisprudence, Forensic
Medicine and Toxicology. 7th ed.2005. REFERENCE BOOKS
3. Knight B. Simpson’s Forensic Medicine. 11th ed.1993. 4. Knight and Pekka. Principles of forensic medicine. 3rd ed. 2004 5. Krishan VIJ. Text book of forensic medicine and toxicology
(principles and practice). 4th ed. 2007 6. Dikshit P.C. Text book of forensic medicine and toxicology. 1st
ed. 2010 7. Polson. Polson’s Essential of Forensic Medicine. 4th edition.
2010. 8. Rao. Atlas of Forensic Medicine (latest edition). 9. Rao.Practical Forensic Medicine 3rd ed ,2007. 10. Knight: Jimpson’s Forensic Medicine 10th 1991,11th ed.1993 11. Taylor’s Principles and Practice of Medical Jurisprudence. 15th
ed.1999 CDs:
1. Lectures on Forensic Medicine. 2. Atlas of Forensic Medicine.
WEBSITES:
www.forensicmedicine.co.uk
GENERAL MEDICINE
REFERENCE BOOKS: 1. Hutchison’s Clinical Methods, 23rd Edition 2. MacLeod's clinical examination 13th edition 3. Davidson's Principles and Practice of Medicine 4. Kumar and Clark's Clinical Medicine 5. HCAI guidelines CDC 6. WHO TB guidelines
PATHOLOGY/MICROBIOLOGY
TEXT BOOKS 1. Robbins & Cotran, Pathologic Basis of Disease, 9th edition. 2. Rapid Review Pathology, 4th edition by Edward F. Goljan MD
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 15
WEBSITES: 1. http://library.med.utah.edu/WebPath/webpath.html 2. http://www.pathologyatlas.ro/
PEDIATRICS
TEXT BOOK: 1. Basis of Pediatrics (8th Edition Pervez Akbar)
PHARMACOLOGY
A. TEXT BOOKS 1. Lippincot Illustrated Pharmacology 2. Basic and Clinical Pharmacology by Katzung
ADDITIONAL LEARNING RESOURCES
Hands-on Activities/ Practical Students will be involved in Practical sessions and hands-on activities that link with the respiratory II module to enhance the learning.
Labs Utilize the lab to relate the knowledge to the specimens and models
available.
Skills Lab Provides the simulators to learn the basic skills and procedures. This helps
build the confidence to approach the patients.
Videos
Familiarize the student with the procedures and protocols to assist
patients.
Computer
Lab/CDs/DVDs/Internet
Resources:
To increase the knowledge students should utilize the available internet
resources and CDs/DVDs. This will be an additional advantage to increase
learning.
Self Learning
Self Learning is scheduled to search for information to solve cases, read
through different resources and discuss among the peers and with the
faculty to clarify the concepts.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 16
ASSESSMENT METHODS:
Theory:
o Best Choice Questions (BCQs) also known as MCQs (Multiple Choice Questions) are used to asses
objectives covered in each module.
A BCQ has a statement or clinical scenario followed by four options (likely answer).
Students after reading the statement/scenario select ONE, the most appropriate response
from the given list of options.
Correct answer carries one mark, and incorrect ‘zero mark’. There is no negative marking.
Students mark their responses on specified computer-based/OMR sheet designed for LNHMC.
o EMQs:
An EMQ has:
o An option list of 5-15 which may be nerve supply, functions, diagnosis, investigations etc
o A Lead In –Statement/Question
o Two to four Stems or Clinical Scenarios
For each stem or clinical scenario, the student should choose the most appropriate option from the
option list.
A single option can be used once, more than once or not at all.
Correct answer carries one mark and incorrect ‘zero mark’. There is NO negative marking.
Student mark their responses on a specified computer-based sheet for EMQs.
OSPE/OSCE: Objective Structured Practical/Clinical Examination:
Each student will be assessed on the same content and have same time to complete the task.
Comprise of 12-25 stations.
Each station may assess a variety of clinical tasks, these tasks may include history taking, physical examination, skills and application of skills and knowledge
Stations are observed, unobserved, interactive and rest stations.
Observed and interactive stations will be assessed by internal or external examiners.
Unobserved will be static stations in which there may be an X-ray, Labs reports, pictures, clinical
scenarios with related questions for students to answer.
Rest station is a station where there is no task given and in this time student can organize
his/her thoughts.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 17
Internal Evaluation
During the module, students will be assessed to determine achievement of module objectives.
Module Examination: will be scheduled on completion of each module. The method of
examination comprises theory exam which includes BCQs, EMQs and OSPE/OSCE (Objective
Structured Practical Examination/Objective Structured Clinical Examination).
20% marks of internal evaluation will be added in theory of JSMU semester exam. That
20% will include class tests, assignments and the modular exam which all have specific
marks allocation.
Example : Number of Marks allocated for Semester Theory and Internal Evaluation
Semester
Semester Examination Theory Marks
Internal Evaluation (Class test + Assignments
+ Modular Exam)
Total (Theory)
80% 20% 100%
Formative Assessment
Individual department may hold quiz or short answer questions to help students assess their
own learning. The marks obtained are not included in the internal evaluation
More than 75% attendance is needed
to sit for the modular and semester
examinations
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 18
SEMESTER EXAMINATION RULES & REGULATIONS OF JINNAH SINDH MEDICAL UNIVERSITY
(JSMU)
In one academic year there will be two semesters. The semester duration is approximately
sixteen/seventeen weeks.
Each semester may have two to three modules from two to eight weeks duration.
JSMU EXAMINATIONS:
JSMU will schedule and hold Semester Examinations on completion of each semester.
In one academic year, there will be two semester examinations and one Retake Examination.
MBBS Third year:
Semester V examination is scheduled on completion of Infectious Diseases, Hematology, Respiratory II and CVS modules.
Semester VI examination is scheduled on completion of GIT, Renal and Endocrine modules.
Examination Protocols:
In each semester, module will be assessed by theory paper comprising MCQs and EMQs. For
example semester 5 will have separate theory paper of Infectious Diseases, Hematology,
Respiratory II and CVS II modules.
There will be one OSPE (Objective Structured Practical Examination)/OSCE (Objective Structured
Clinical Examinations) which will cover all four modules of semester five.
1. Theory
Theory paper will comprise of 80 one best type MCQs and 20 EMQs.
Time duration for theory paper will be 120 minutes.
Students will mark their responses on JSMU specified response sheets assessed by computer
software.
It will carry out 80% contribution in theory results of the Semester.
There is no negative marking.
2. OSPE/OSCE:
It is to be held at the respective college unless specified by JSMU.
It may comprise between 12- 25 stations. Each station will carry 10 marks.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 19
3. JSMU Grading System
It will be based on GPA – 4 system
Marks obtained in Percentage range
Numerical Grade
Alphabetical Grade
80-100 4.0 A+ 75-79 4.0 A 70-74 3.7 A- 67-69 3.3 B+ 63-66 3.0 B 60-62 2.7 B- 56-59 2.3 C+ 50-55 2.0 C
<50 Un-grade-able 0 U
A candidate obtaining GPA less than 2.00 (50%) is declared un-graded (fail).
Cumulative transcript is issued at the end of clearance of all modules.
4. Retake Examination
The failures are to re-appear in subsequent examinations.
It is held once a year that is after the even number semesters. For example at the end of second, fourth, sixth, eighth or tenth semester.
Retake examinations are for those students who fail in semester examinations, and who wish to
improve grades (GPA) secured in semester examinations.
The candidate who has passed the semester examinations with GPA less than 3.0 GPA may re- appear in respective retake examination to improve grades.
MBBS first year Candidates failing in retake examinations may re-appear in semesters’
examinations of the following year. The format is exactly the same as in semester examinations.
EXAMPLE OF PROMOTION RULES:
A student who fails in Semester One Examination and passes Semester Two, s/he will take Retake for
Semester One Examination. S/he passes Semester Two and is promoted to 2nd year. If that student
FAILS in Retake, s/he will be promoted to 2nd year BUT will have to Pass Semester One examination in
Second year along with Semester Three and Four examinations for promotion to third year.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 20
5. Promotion to next class
Students who pass both semester examinations are promoted from first year to second year.
Students who fail the MBBS first year semester retake examination will be promoted to second year.
Students will be promoted from second year to third year and onward only if they have passed
the semester examinations of that year.
Clearance of all modules and their components of semester one to four are mandatory for promotion from second year to third year (as per PMDC rules).
As per PMDC rules any candidate failing to clear a module or its component in four (1+3)
attempts is not allowed to carry out further medical education.
Clearance of all modules and their components of semester/s are mandatory for promotion from third year onward.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 21
MODULAR EXAMINATION RULES & REGULATIONS (LNH&MC)
Student must report to examination hall/venue, 30 minutes before the exam.
Exam will begin sharp at the given time.
No student will be allowed to enter the examination hall after 15 minutes of scheduled
examination time.
Students must sit according to their roll numbers mentioned on the seats.
Cell phones are strictly not allowed in examination hall.
If any student is found with cell phone in any mode (silent, switched off or on) he/she will be not
be allowed to continue their exam.
No students will be allowed to sit in exam without University Admit Card, LNMC College ID Card
and Lab Coat
Student must bring the following stationary items for the exam: Pen, Pencil, Eraser, and
Sharpener.
Indiscipline in the exam hall/venue is not acceptable. Students must not possess any written
material or communicate with their fellow students.
3RD YEAR MBBS, SEMESTER 5 RESPIRATORY II MODULE LIAQUAT NATIONAL MEDICAL COLLEGE
2017 Page | 22
SCHEDULE:
WEEKS 3rd Year SEMESTER 5 MONTH
WEEK 1
INFECTIOUS DISEASES MODULE
7th Nov 2016
WEEK 2 WEEK 3 WEEK 4 WEEK 5 10th Dec’2016
MODULAR EXAM 14th & 15th Dec’ 2016
WEEK 1
HEMATOLOGY MODULE
19th Dec’ 2016 WEEK 2 WEEK 3 WEEK 4 10th Jan’ 2017
MODULAR EXAM 13th & 14th Jan’ 2017
WEEK 1
RESPIRATORY II MODULE
16th Jan’ 2017
WEEK 2 WEEK 3 WEEK 4 11th Feb’ 2017 MODULAR EXAM 16th & 17th Feb’ 2017*
WEEK 1 CVS II
MODULE
20th Feb’ 2017*
WEEK 2
WEEK 3 WEEK 4 17th March 2017*
MODULAR EXAM 20th & 21st March’ 2017*
PREPARATORY LEAVE
SEMESTER EXAM 25th March-1st April* *Final dates will be announced later References (title page)
1. http://www.aboutcancer.com/lung_xrays_abnormal.htm 2. http://www.mhhe.com/biosci/esp/2001_gbio/folder_structure/an/m7/s4/index.htm